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General NPI Number Information
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NPI Number | 1174165427
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Entity Type | Organization
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Legal Business Name | DELAWARE DENTAL SOLUTIONS LLC
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Dates
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Enumeration Date | 10/08/2019
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Last Update Date | 10/08/2019
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Provider Practice Location Address
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Address Line | 131 BECKS WOODS DR.
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City | BEAR
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State | DE
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Zip | 19701
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Country | US
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Telephone | 302-409-3050
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Fax | 302-365-6729
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Provider Business Mailing Address
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Address Line | 131 BECKS WOODS DR.
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City | BEAR
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State | DE
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Zip | 19701
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Country | US
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Telephone | 302-409-3050
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Fax | 302-365-6729
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Authorized Official
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Title or Position | OWNER
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Name | DR. WEIDONG YANG
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Credential | DMD
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Telephone | 302-409-3050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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